Careers

Position Applied For

Personal Details

Title (e.g. Mr, Mrs, Ms, Dr)

Name

First

Last

Address

Postcode

Phone Number (Mobile)

Phone Number (Home)

National Insurance Number

Personal declaration

This is your opportunity to explain what you can bring to the role applied for, and to the organisation. Please use examples where you have indicated your said skills. Please note: if successful, this information can and maybe used to form part of the next stage in the recruitment process.

Please explain your understanding of children’s supported living:

Please explain what your understanding of safeguarding is:

Please provide two examples in which you have promoted the independence of an individual: (One of these has to be work related).

Please provide an example of when you have worked autonomously:

What is your greatest accomplishment to date?

Please list and explain 5 attributes that you feel will be advantageous for the position you have applied for:

Why have you applied for a position with Twmpath?

Are there any restrictions on you taking up Employment in the UK?

Yes

No

If yes, please provide details:

Education

Schools/College/University Name

Qualification Gained

Add Remove

Driving Licence

Do you have vehicle business insurance?

Yes

No

Please provide details of any endorsements:

What is the expiry date on your licence?

What groups are on your driving licence?

Do you have a valid driving licence?

Yes

No

Employment History - Current Employer

Please complete in full and use the any other comments section if necessary.

Name of Employer

Address

Dates of Employment

Job Title

Duties

Rate of Pay

Reason for Leaving

Notice Period

Any other comments

Employment History - Previous Employer 2

Please complete in full and use the any other comments section if necessary.

Name of Employer

Address

Dates of Employment

Job Title

Duties

Rate of Pay

Reason for leaving

Any other comments

Employment History - Previous Employer 3

Name of Employer

Address

Dates of Employment

Job Title

Duties

Rate of pay

Reason for leaving

Any other comments

Current Membership of Professional bodies (i.e. SCW)

Please note any professional bodies you are a member or registered with:

Other Employment

Please note any other employment that you would continue with, if you were to be successful in obtaining the position:

Reference 1

Please provide details for someone from whom we may obtain both character and work references

Title (e.g. Mr, Mrs, Ms, Dr)

Name

First

Last

Address

Email

Phone

May we approach the above prior to interview?

Yes

No

Reference 2

Please provide details for someone from whom we may obtain both character and work references

Title (e.g. Mr, Mrs, Ms, Dr)

Name

First

Last

Address

Email

Phone

May we approach the above prior to interview?

Yes

No

Criminal Record

Please note any criminal convictions except those 'spent' under the Rehabilitation of Offenders Act 1974. If none please state. In certain circumstances employment is dependent upon obtaining a satisfactory Disclosure & Barring Certificate from the Disclosure & Barring Service.

Please note any criminal convictions except those 'spent':

Data Protection

Please tick to agree and continue

1. We are aware of our obligations under data protection legislation, including the obligation to collect only the data that is required for our specific purpose. The information collected in this application form is specific to our recruitment exercise and necessary for the performance of the role that you have applied for. If you are recruited for the role you have applied for, or any other role you are offered by us, the information provided will then be used for the purposes of your employment with us, together with further information collected upon recruitment for those purposes.

2. We will treat all personal information about you with utmost integrity and confidentiality. Our data protection policy sets out our approach to ensuring that your data is processed in line with the data protection principles within current data protection legislation.

Declaration

Please read this carefully before signing this application.

Please tick to confirm and continue

1. I confirm that the above information is complete and correct and that any untrue or misleading information will give my employer the right to terminate any employment contract offered.

2. I understand that the company will inform me of their intention to contact my doctor with a view to obtaining a medical report, should they require further medication information, and that my agreement will be sought before my doctor is contacted. I also understand that the organisation reserves the right to require me to undergo a medical examination. In addition, I agree that this information will be retained in my personnel file during employment and for up to six years thereafter and understand that information will be processed in accordance with data protection legislation.

3. I agree that should I be successful in this application, I will, if required, apply to the Disclosure & Barring Service/Disclosure Scotland for a Disclosure & Barring Certificate. I understand that should I fail to do so, or should the disclosure not be to the satisfaction of the company any offer of employment may be withdrawn or my employment terminated.

Signed

Date

Current Vacancies

Online Application Form

Personal Details

Personal declaration

Education

Driving Licence

Employment History - Current Employer

Employment History - Previous Employer 2

Employment History - Previous Employer 3

Current Membership of Professional bodies (i.e. SCW)

Other Employment

Reference 1

Reference 2

Criminal Record

Data Protection

Declaration

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